Jessica Michelle Pena, PTA
NPI #1174168116 in Georgetown, Texas
Provider Information
- NPI Number
- 1174168116
- Entity Type
- Individual
- Name
- Jessica Michelle Pena, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 13, 2019
- Last Updated
- Nov 13, 2019
Practice Location
- Address
- 4011 WILLIAMS DR
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-2491
- Phone
- (512) 868-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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